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NPI Verification

National Provider Identifier: 1891193041

Boston Medical Group Tennessee L.l.c.

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

23275 S POINTE DRIVE

SUITE 100

LAGUNA HILLS, CA 92653

Phone: 615-562-4578

NPI Enumeration Date

December 19, 2014

NPI Number

1891193041

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry